3 May, P3C Communicator Rabia Haq Justin Hollingsworth Richard Strosahl Matthew Wong Zachary Young Prototype Demonstration

3 May, Contents  Problem  Solution  Prototype Definition  Prototype Demonstration  Finances  Challenges  Conclusions

3 May, Problem  Individuals with cardiovascular diseases that are not motivated to continue in a proactive approach to improving their well-being are at a higher risk of having future cardiovascular problems.

3 May, Cardiac Rehabilitation Phases  Phase I  Inpatient  Hospital staff will take the patient for a walk  Phase II  Outpatient  Patients come into the hospital for monitored exercise  Phase III  Maintenance  Patients have to exercise on own  Usually joining a gym or recreation center

3 May, Characteristics of the Problem  Cardiovascular Disease (CVD) in America  61.8 Million Americans with a CVD 1  945,836 Americans die each year from CVDs 1  Patients who participate in Phase III are 20-30% less likely to die as a result of cardiac issues 2  Phase III participation generally ranges between 10-20% 3  Low rate of Phase III participation generally attributed to lack of motivation and knowledge 1 Heart Disease and Stroke Statistics – 2003 Update, American Heart Association 2 ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription, Third Edition, The American Journal of Cardiology Volume 79, Issue 1, 1 January 1997

3 May, Stanford Study 1 Control Group n = 300  Standard procedures for phase III patients  Assumed normal dropout rates Experimental Group n = 300  Received phone call from nurse  Higher participation rates 1 The American Journal of Cardiology Volume 79, Issue 1, 1 January 1997

3 May, Characteristics of a Solution  Motivates Individuals to Continue Rehabilitation  Monitors Patient’s Blood Pressure and Heart Rate  Alerts User of Bad Readings  Check-up Phone Calls to Motivate Those with Bad Readings  From P3C Technician  From Patient’s Doctor  Initial Solution  CS410 – Phase 0

3 May, Proposed Solution  The P3C Communicator  P3C Heart Rate / Blood Pressure Monitor  Captures data with automatic and manual readings  P3C Docking Station  Downloads data from the P3C Heart Rate / Blood Pressure Monitor  Transmits data to P3C Central Server  Displays responses from P3C Central Server  P3C Central Server  Analyses user’s blood pressure and heart rate readings  Transmits Response to P3C Docking Station

3 May, Analysis Algorithm  Checks Current Values Against  Accepted Norms  Historical Data from the User  Allows for Personalized Analysis  Historical Data May Vary Slightly from Norms  Values Outside Historical Data but Inside Norms  Could Indicate Something Wrong

3 May, Prototype Requirements  Omron HEM-637  Captures Needed Data  Omron HEM-637IT Connects to Computer  Palm m100  Shows Connection from Remote Device to Computer  Two Personal Computers  P3C Docking Station  Download and Transmit Data  Display Message  P3C Central Server  Analysis and Response

3 May, Prototype Mapping P3C Communicator Prototype HR/BP Monitor PDA Computer 1 (Client S/W) Computer 2 (Server S/W) Product HR/BP Monitor - Docking Station Central Server

3 May, Prototype Demonstration  Capturing Blood Pressure and Heart Rate  Transmitting from Remote Device  Analyzing Raw Data  7 Cases  Live Data  Good Data  Mediocre Data  Bad Data  Mixed Data  No Account

3 May, Demonstration – Live Test  Volunteer from Audience  Take reading  Input to PDA  Transfer to Client  No Account  Create Account  Analyze

3 May, Demonstration – Good Data  User has good data  8 Good Readings HRBPSBPD

3 May, Demonstration – Mediocre Data  User has all mediocre data  8 Mediocre Readings HRBPSBPD

3 May, Demonstration – Bad Data  User has all bad data  8 Bad Readings HRBPSBPD

3 May, Demonstration – Mixed Data - 1  User has mixed data  7 Good Readings  1 Bad Readings HRBPSBPD

3 May, Demonstration – Mixed Data - 2  User has Mixed Data  7 Mediocre Readings  1 Bad Readings HRBPSBPD

3 May, Demonstration – No Account  User does not have an account HRBPSBPD

3 May, Demonstration Conclusions  Can Capture the Data Needed  Can Transmit the Data  Can Analyze the Data  Can Display Status Messages

3 May, Product Development  Construct Docking Station  Combine the Parts  Determine Heart Rate / Blood Pressure Monitor to Use  Wrist Cuff  Arm Cuff  Ambulatory Blood Pressure Monitoring (ABPM)  Combination of Wrist Cuff and ABPM

3 May, Challenges  Hardware Development  Shrinking the Technology  Use Arm Cuff and ABPM instead of Wrist Cuff  Accuracy  Must Hold Wrist Cuff Monitor at Heart Level  Bad Analysis  False Positives

3 May, Conclusions  Large Market for Product  61.8 Million Americans with a CVD 1  Good Benefits of Use  20-30% Less Likely to Die as a Result of Cardiac Issues 2  Our Low Cost, Easy to Use Solution Should Be Developed 1 Heart Disease and Stroke Statistics – 2003 Update, American Heart Association 2 ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription, Third Edition, 2003.

3 May, P3C Communicator Rabia Haq Justin Hollingsworth Richard Strosahl Matthew Wong Zachary Young Prototype Demonstration

3 May,  ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription, Third Edition,  American Journal of Cardiology, The. Volume 79, Issue 1, 1 January 1997  Heart Disease and Stroke Statistics – 2003 Update, American Heart Association  NTIA and ESA, U.S. Department of Commerce, using U.S. Census Bureau Current Population Survey Supplements  NHANES III ( ), CDC/NCHS References

3 May,  Cardiovascular Disease Patients  Those who have already experienced a CVD  50 % of all heart attacks are recurrent 1  70 % of all CHD(coronary heart disease) deaths 1  Those with a high risk for future CVD  Primary Focus -- Ages  Deal with Cardiovascular Diseases  Almost 150,000 Americans under 65 die each year from a CVD 1  Increasing percentages of Cardiovascular Diseases 1 Heart Disease and Stroke Statistics – 2003 Update, American Heart Association 2 NTIA and ESA, U.S. Department of Commerce, using U.S. Census Bureau Current Population Survey Supplements Customer

3 May, Individuals with Cardiovascular Diseases 1 NHANES III ( ), CDC/NCHS

3 May, Evaluation Plan  Evalutation Per Milestone  Reviews per Milestone  Review Specifications  Implement Next Phase  During Development Phase  Thorough Integration Testing

3 May, Management Plan  Monthly Progress Reports  Progress to Date  Critical Path Analysis  Resource Profile

3 May, Cost of Production

3 May, Estimated Profit

3 May, Project History  CS410 – Phase 0  Initial Solution  Web-based Exercise Monitoring and Motivation  CS411 – Phase 1  Old Solution Determined Not Feasible  Solution Changed